scholarly journals Anterior abdominal wall endometrioma: a diagnostic dilemma

2019 ◽  
Vol 8 (12) ◽  
pp. 5032
Author(s):  
Nilofar Imamhusen Yelurkar ◽  
Meena Naresh Satia ◽  
Ananya Rajendra Deekshit ◽  
Vijaya Rajesh Badhwar
Keyword(s):  
Abdominal Wall ◽  
Nasal Mucosa ◽  
Anterior Abdominal Wall ◽  
Rectus Sheath ◽  
Uterine Cavity ◽  
Surgical Excision ◽  
Rare Entity ◽  
Diagnostic Dilemma ◽  
Anterior Rectus Sheath ◽  
Medical Line

The presence of functioning endometrium outside the uterine cavity is often encountered in gynaecological practice but an extremely rare entity is its extra pelvic variant is seen sometimes around the umbilicus, anterior rectus sheath vesical region, also rarely seen around the kidney’s nasal mucosa, lungs and the pleura. The incidence of this condition is as low as 0.03% to 0.15%. Endometrioma of the anterior rectus sheath is well documented in literature but because of its rarity may pose a diagnostic dilemma. Reporting herewith a case of anterior rectus sheath endometrioma where medical line of treatment failed and surgical excision was required.

Anterior abdominal wall necrotizing fasciitis due to strangulated umbilical hernia: a diagnostic dilemma

Grand Rounds ◽  
2013 ◽  
Vol 13 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Michael Bartholomew Mwandri ◽  
Julius Chacha Mwita ◽  
Negussie Alula Bekele ◽  
Ibrahim Mohamed Ali ◽  
Michael Stephen Walsh
Keyword(s):  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Umbilical Hernia ◽  
Anterior Abdominal Wall ◽  
Diagnostic Dilemma

Spontaneous hematoma of the rectus abdominal wall in pregnancy

2013 ◽  
Vol 2 (1-2) ◽  
Author(s):  
Mihaela Grigore ◽  
Camelia Cojocaru ◽  
Alina Mares
Keyword(s):  
Abdominal Pain ◽  
Abdominal Wall ◽  
Ovarian Tumor ◽  
Rectus Sheath ◽  
Pregnant Patient ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Rectus Sheath Hematoma ◽  
Spontaneous Hematoma ◽  
In Pregnancy

AbstractRectus sheath hematoma is an uncommon and often clinically misdiagnosed cause of abdominal pain. We report such a case of a 42-year-old woman who developed an abdominal-wall hematoma at 32 weeks of gestation. Initially, she was suspected as having a complicated ovarian tumor associated with pregnancy, because of the intense abdominal pain. Both ultrasound and magnetic resonance imaging proved to be useful in diagnosing rectus sheath hematoma. A conservative management was applied for the rectus sheath hematoma and the patient recovered uneventfully. Although it is a very rare entity, rectus sheath hematoma should be included in the differential diagnosis of every pregnant patient who presents with abdominal pain.

scholarly journals Scar endometriosis-rare and painful entity: a case report

2021 ◽  
Vol 10 (5) ◽  
pp. 2104
Author(s):  
Anita Yadav ◽  
Jyoti Baghel ◽  
Rajneesh Rawat ◽  
Avinash Prakash
Keyword(s):  
Rare Case ◽  
Rectus Sheath ◽  
Surgical Excision ◽  
Tertiary Level ◽  
Rare Entity ◽  
Pelvic Endometriosis ◽  
Rare Type ◽  
Detailed History ◽  
Scar Endometriosis

Scar endometriosis is a rare type of extra-pelvic endometriosis that develops following obstetrical and gynecological surgeries. It is a rare entity, though probably on the rise, due to the increase in caesarean sections performed worldwide. This manuscript reports a rare case of scar endometriosis involving rectus sheath following repeat caesarean section and was managed at a tertiary level centre. The patient required surgical excision of the lesion and was kept on regular follow-up following surgery. The physiopathology of scar endometriosis is complex; its symptomatology is rich and diverse but detailed history, thorough clinical examination along with imaging and histopathological evaluation is usually efficient in diagnosing the condition.

Abdominal wall actinomycotic mycetoma involving the bowel: a rare entity

2021 ◽  
Vol 14 (1) ◽  
pp. e236948
Author(s):  
Anuj Kumar Sharma ◽  
Alok Kumar Pandey ◽  
Sumesh Kaistha ◽  
Kumar Rajesh Ranjan
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Wall ◽  
Unusual Case ◽  
Anterior Abdominal Wall ◽  
Histopathological Examination ◽  
Preoperative Evaluation ◽  
Tropical Region ◽  
Rare Entity ◽  
Radiological Imaging ◽  
Left Flank

Actinomycotic mycetoma is a disease of the tropical region and usually presents as a chronic, suppurative and deforming granulomatous infection. We present an unusual case of actinomycotic mycetoma of the abdominal wall that was found to infiltrate into the bowel. A 51 year-old man presented with pain and swelling in the left flank of 2-year duration. Even after comprehensive preoperative evaluation with advanced radiological imaging, biochemistry and pathology, the diagnosis could not be arrived at. Histopathological examination of the excised specimen after the surgery guided to the diagnosis of actinomycotic mycetoma, which entirely changed the management in the postoperative period. We propose that mycetoma should be kept as a possible differential diagnosis for anterior abdominal wall swelling in the indicated clinical setting and the investigations be done keeping the same in mind. Otherwise, a lot of valuable time may be lost allowing the disease to progress further.

scholarly journals Isolated Abdominal Wall Actinomycosis Associated with an Intrauterine Contraceptive Device: A Case Report and Review of the Relevant Literature

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Sinan Carkman ◽  
Volkan Ozben ◽  
Haydar Durak ◽  
Kagan Karabulut ◽  
Turgut Ipek
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Histopathological Examination ◽  
Relevant Literature ◽  
Surgical Excision ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Lost To Follow Up

Isolated abdominal wall actinomycosis in the presence of an intrauterine contraceptive device (IUCD) is extremely rare and only six such cases have been reported in the literature. We report a case where clinical and radiological examinations revealed a pseudotumor within the anterior abdominal wall. After being lost to follow-up, the patient presented two years later with the enlargement of the mass. The mass including the affected anterior abdominal wall was completely excised. The diagnosis of actinomycosis was established postoperatively by histopathological examination. Further questioning concerning her gynecological history revealed long-term use of the same IUCD. Surgical excision of the actinomycotic pseudotumour and removal of the IUCD followed by antibiotic therapy resulted in the full recovery of the patient.

scholarly journals Large anterior abdominal wall fibrosarcoma in a known case of recurrent dermatofibrosarcoma protuberans

2020 ◽  
Vol 7 (9) ◽  
pp. 3120
Author(s):  
Snigdha Kamini ◽  
Sunil Kumar Jain ◽  
Jaspreet Bajwa ◽  
M. Nafees Ahamad ◽  
Sumit Kumar Prasad ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Histopathological Examination ◽  
Abdominal Wall Defect ◽  
Locally Advanced ◽  
Skin Grafting ◽  
Dermatofibrosarcoma Protuberans ◽  
Surgical Excision ◽  
Large Tumor ◽  
Split Skin Grafting

Dermatofibrosarcoma protuberans is a rare soft tissue sarcoma of low to intermediate malignant potential. Incidence is estimated to be 0.8 to 4.5 cases per million persons per year. The tumor is highly aggressive locally and is known to recur. Punch biopsy or excisional biopsy (in case of small tumors) are diagnostic. Computer tomography (CT) and magnetic resonance imaging (MRI) are useful in determining the size and extent of the tumor’s treatment is primarily surgical, with a wide local excision with at 2 cm margin. However, local recurrence after apparently adequate surgical excision is common. Mohs micrographic surgery has been recommended as it enables maximum preservation of tissue. When surgery is insufficient, imatinib mesylate is shown as a safe and effective treatment in dermatofibrosarcoma protuberans (DFSP), especially in cases of locally advanced or metastatic disease. Here, we report a case of a giant fibrosarcoma on the anterior abdominal wall, measuring 27×18×9 cm, which occurred in a recurrent dermatofibrosarcoma protuberans. Diagnosis was done by histopathological examination (HPE) of the previously excised tumor and CT was done. The tumor was excised with a 3 cm margin and extensive reconstruction of the anterior abdominal wall defect was done using synthetic mesh, myocutaneous flaps and split skin grafting. Keeping in view the recurrent nature of our case, large tumor size, DFSP-fibrosarcomatous (FS) transformation and close negative margins in the HPE of the postoperative specimen, the patient was planned for adjuvant radiotherapy.

scholarly journals Dynamic ultrasound in evaluating the spectrum of anterior abdominal wall lesions

2019 ◽  
Vol 6 (7) ◽  
pp. 2464
Author(s):  
Priyanka Rana ◽  
John D’Souza ◽  
Priscilla Joshi ◽  
Amol Bandgar ◽  
Mangal Mahajan ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Age Groups ◽  
Rectus Sheath ◽  
High Sensitivity ◽  
Cost Effective ◽  
Dynamic Ultrasound ◽  
Male Patients ◽  
Rectus Sheath Hematoma ◽  
Wall Lesions

Background: Lesions in anterior abdominal wall are evident early and their clinical detection is easy. Ultrasonography is the first investigation for the patient clinically suspected to have an anterior abdominal wall lesion. This study evaluated the anterior abdominal wall pathologies using Dynamic ultrasound (USG) and compared the findings with surgical operative findings.Methods: There were 100 consecutive patients of all age groups with clinically suspected anterior abdominal wall pathologies referred for USG of the abdomen were selected for this study.Results: Our study showed a higher incidence of anterior abdominal wall pathologies in male patients (77 %) with an incidence of 41 % in the age group of >60 years.  Hernias had an incidence of 93 % followed by undescended testis: 4 %, Divarication of recti: 2% and Rectus sheath hematoma: 1%. Inguinal hernia was the most common hernia with an incidence of 58%. The findings correlated with surgery and gave a sensitivity of 100 %.Conclusions: Ultrasonography including Dynamic USG is a safe, quick, cost-effective, accurate and non-invasive modality for assessing the anterior abdominal wall lesions with a high sensitivity. Dynamic USG also helped to accurately measure the diameter of the neck and content of the sac which aided the surgeon in managing the repair of the hernia. 

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